SPENCER GARRETT WARREN DDS NPI 1811526239

NPI Information

  • NPI: 1811526239
  • Provider Name: SPENCER GARRETT WARREN, DDS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 500 LENTZ DR STE 40
    MADISON, TN
    ZIP 37115
  • Phone: (615) 868-9057

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NPI Details

Spencer Garrett Warren, DDS is a pediatric dentistry dentist in Madison, TN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Spencer Garrett Warren, DDS NPI is 1811526239. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 LENTZ DR STE 40
MADISON, TN
ZIP 37115
Phone: (615) 868-9057

The enumeration date for this NPI number is 4/7/2020 and was last updated on 12/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry11809TENNESSEEYes
21223P0221XDentistPediatric Dentistry30.026384OHIONo
3122300000XDentist30.026384OHIONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10439284MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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